45 CFR § 180 compliance
F · 55
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
10,932
Insurances with rates
9
CPT / HCPCS codes
9,950
Most expensive procedures (gross)
29827
$15,808
ARTHROSCOPY, SHOULDER, SURGICAL WITH ROTATOR CUFF REPAIR
Gross
$22,583
69205
$12,834
FAC, REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; W/ GEN ANESTHESIA
Gross
$18,334
36558
$6,993
ER INSERTION OF CENTRAL LINE TRIPLE LUMEN
Gross
$9,990
21325
$6,610
ER REDUCTION NASAL FRACTURE OPEN SIMPLE
Gross
$9,443
56810
$6,304
ER PERINEOPLASTY
Gross
$9,006
45990
$6,165
ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA, DIAGNOSTI
Gross
$8,807
46948
$6,165
HEMORRHOIDECTOMY, INTERNAL, BY TRANSANAL HRHC DEARTERIALIZATION, 2 OR MORE, US GUIDE, WITH MUCOPEXY
Gross
$8,807
45020
$5,916
ER IN & DRAIN DEEP SUPRALEVATOR, PELVIRECTAL, PETRORECTAL ABCESS
Gross
$8,451
11446
$5,126
ER, EXCISION, FACE-MM, BENIGN LESION + MARGINS; > 4CM
Gross
$7,323
11426
$5,126
ER, EXCISION, H-F-NK-SP, BENIGN LESION + MARGINS; > 4CM
Gross
$7,323
81408
$4,200
LAB MOLECULAR PATHOLOGY PROCEDURE LEVEL 9
Gross
$6,000
20101
$4,095
ER EXPLORATION OF PENETRATING WOUND, CHEST
Gross
$5,850
12047
$4,095
ER REPAIR WOUND (NECK, HANDS, FEET, GENITALIA) INTERMEDIATE >30 CM
Gross
$5,850
12037
$4,095
ER REPAIR WOUND (SCALP, NECK, EXT GENITALIA, TRUNK, EXTREM) INTERM
Gross
$5,850
11420
$3,815
ER, EXCISION, H-F-NK-SP, BENIGN LESION + MARGINS; < 0.5CM
Gross
$5,450
55876
$3,556
GLOB PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE, PROSTATE (VIA NEEDLE, ANY A
Gross
$5,080
26340
$3,420
ER MANIPULATION FINGER JOINT W/ANESTH
Gross
$4,886
27266
$3,420
ER TX DISLOCATION HIP, CLOSED, POST ARTHROPLASTY, W/ANESTHESIA
Gross
$4,886
31002
$3,385
ED LAVAGE BY CANNULATION; SPHENOID SINUS
Gross
$4,835
70549
$3,087
MRA CAROTID ARTERIES W/WO IV
Gross
$4,409
3507999800
$3,080
CT ANGIOGRAPHY, HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES,
Gross
$4,400
1219923007
$3,057
IP ROOM ISOLATION
Gross
$4,367
1219923002
$3,057
IP ROOM LVL 3 HIGH INTENSITY
Gross
$4,367
11443
$3,043
ER, EXCISION, FACE-MM, BENIGN LESION + MARGINS; 2.1 - 3CM
Gross
$4,348
11444
$3,043
ER, EXCISION, FACE-MM, BENIGN LESION + MARGINS; 3.1 - 4CM
Gross
$4,348
11422
$3,043
ER, EXCISION, H-F-NK-SP, BENIGN LESION + MARGINS; 1.1 - 2CM
Gross
$4,348
11406
$3,043
ER, EXCISION, TR - EXT, BENIGN LESION + MARGINS; > 4 CM
Gross
$4,348
73220
$2,934
MRI EXTREMITY UPPER W/WO IV
Gross
$4,191
71551
$2,772
MRI CHEST (BRACIAL PELXIS) WITH IV
Gross
$3,960
73223
$2,714
MRI JOINT UPPER W/WO IV
Gross
$3,877
73723
$2,712
MRI HIP LEFT W/WO IV
Gross
$3,874
1209923000
$2,675
IP ROOM LVL 2 INTERMEDIATE CARE
Gross
$3,821
1219923001
$2,675
IP ROOM LVL 2 INTERMEDIATE CARE
Gross
$3,821
45381
$2,617
COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE
Gross
$3,738
27240
$2,487
ED PRO FEE CLOSED TREATMENT FEMORAL FRACTURE, W MANIPULATION, W OR W/O TRACTION
Gross
$3,554
75635
$2,456
CT ANGIO AORTA, WITH RUNOFF, W/O IV CONTRAST, THEN W/ IV CONTRAST
Gross
$3,508
21016
$2,454
ED, PRO, RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FACE OR SCALP; 2 CM OR GREATER
Gross
$3,505
73219
$2,407
MRI EXTREMITY UPPER WITH IV
Gross
$3,439
73720
$2,379
MRI EXTREMITY LOWER W/WO IV
Gross
$3,398
74183
$2,371
MRI ABDOMEN W/WO IV
Gross
$3,387
72197
$2,363
MRI PELVIS W/WO IV
Gross
$3,375
74185
$2,347
MRA ABDOMEN W/O IV
Gross
$3,353
72198
$2,331
MRA PELVIS W/O IV
Gross
$3,330
73725
$2,326
MRA EXTREMITY LOWER W/O IV
Gross
$3,323
1219923000
$2,293
IP ROOM LVL 1 ACUTE CARE
Gross
$3,275
G0390
$2,250
ER TRAUMA ACTIVATION
Gross
$3,214
73722
$2,247
MRI HIP LEFT WITH IV
Gross
$3,209
74174
$2,229
CT ANGIO ABDOMEN + PELVIS W/ IV CONTRAST
Gross
$3,185
73222
$2,228
MRI JOINT UPPER WITH IV
Gross
$3,183
1219923003
$2,226
IP ROOM LVL 1 ACUTE CARE
Gross
$3,180
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 29827 | ARTHROSCOPY, SHOULDER, SURGICAL WITH ROTATOR CUFF REPAIR | $22,583 | $15,808 | — | — | 15 |
| 69205 | FAC, REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; W/ GEN ANESTHESIA | $18,334 | $12,834 | — | — | 15 |
| 36558 | ER INSERTION OF CENTRAL LINE TRIPLE LUMEN | $9,990 | $6,993 | — | — | 15 |
| 21325 | ER REDUCTION NASAL FRACTURE OPEN SIMPLE | $9,443 | $6,610 | — | — | 15 |
| 56810 | ER PERINEOPLASTY | $9,006 | $6,304 | — | — | 15 |
| 45990 | ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA, DIAGNOSTI | $8,807 | $6,165 | — | — | 15 |
| 46948 | HEMORRHOIDECTOMY, INTERNAL, BY TRANSANAL HRHC DEARTERIALIZATION, 2 OR MORE, US GUIDE, WITH MUCOPEXY | $8,807 | $6,165 | — | — | 15 |
| 45020 | ER IN & DRAIN DEEP SUPRALEVATOR, PELVIRECTAL, PETRORECTAL ABCESS | $8,451 | $5,916 | — | — | 15 |
| 11446 | ER, EXCISION, FACE-MM, BENIGN LESION + MARGINS; > 4CM | $7,323 | $5,126 | — | — | 15 |
| 11426 | ER, EXCISION, H-F-NK-SP, BENIGN LESION + MARGINS; > 4CM | $7,323 | $5,126 | — | — | 15 |
| 81408 | LAB MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 | $6,000 | $4,200 | — | — | 15 |
| 20101 | ER EXPLORATION OF PENETRATING WOUND, CHEST | $5,850 | $4,095 | — | — | 15 |
| 12047 | ER REPAIR WOUND (NECK, HANDS, FEET, GENITALIA) INTERMEDIATE >30 CM | $5,850 | $4,095 | — | — | 15 |
| 12037 | ER REPAIR WOUND (SCALP, NECK, EXT GENITALIA, TRUNK, EXTREM) INTERM | $5,850 | $4,095 | — | — | 15 |
| 11420 | ER, EXCISION, H-F-NK-SP, BENIGN LESION + MARGINS; < 0.5CM | $5,450 | $3,815 | — | — | 15 |
| 55876 | GLOB PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE, PROSTATE (VIA NEEDLE, ANY A | $5,080 | $3,556 | — | — | 15 |
| 26340 | ER MANIPULATION FINGER JOINT W/ANESTH | $4,886 | $3,420 | — | — | 30 |
| 27266 | ER TX DISLOCATION HIP, CLOSED, POST ARTHROPLASTY, W/ANESTHESIA | $4,886 | $3,420 | — | — | 15 |
| 31002 | ED LAVAGE BY CANNULATION; SPHENOID SINUS | $4,835 | $3,385 | — | — | 30 |
| 70549 | MRA CAROTID ARTERIES W/WO IV | $4,409 | $3,087 | — | — | 0 |
| 3507999800 | CT ANGIOGRAPHY, HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, | $4,400 | $3,080 | — | — | 0 |
| 1219923007 | IP ROOM ISOLATION | $4,367 | $3,057 | — | — | 0 |
| 1219923002 | IP ROOM LVL 3 HIGH INTENSITY | $4,367 | $3,057 | — | — | 0 |
| 11443 | ER, EXCISION, FACE-MM, BENIGN LESION + MARGINS; 2.1 - 3CM | $4,348 | $3,043 | — | — | 15 |
| 11444 | ER, EXCISION, FACE-MM, BENIGN LESION + MARGINS; 3.1 - 4CM | $4,348 | $3,043 | — | — | 15 |
| 11422 | ER, EXCISION, H-F-NK-SP, BENIGN LESION + MARGINS; 1.1 - 2CM | $4,348 | $3,043 | — | — | 15 |
| 11406 | ER, EXCISION, TR - EXT, BENIGN LESION + MARGINS; > 4 CM | $4,348 | $3,043 | — | — | 15 |
| 73220 | MRI EXTREMITY UPPER W/WO IV | $4,191 | $2,934 | — | — | 0 |
| 71551 | MRI CHEST (BRACIAL PELXIS) WITH IV | $3,960 | $2,772 | — | — | 0 |
| 73223 | MRI JOINT UPPER W/WO IV | $3,877 | $2,714 | — | — | 0 |
| 73723 | MRI HIP LEFT W/WO IV | $3,874 | $2,712 | — | — | 0 |
| 1209923000 | IP ROOM LVL 2 INTERMEDIATE CARE | $3,821 | $2,675 | — | — | 0 |
| 1219923001 | IP ROOM LVL 2 INTERMEDIATE CARE | $3,821 | $2,675 | — | — | 0 |
| 45381 | COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE | $3,738 | $2,617 | — | — | 15 |
| 27240 | ED PRO FEE CLOSED TREATMENT FEMORAL FRACTURE, W MANIPULATION, W OR W/O TRACTION | $3,554 | $2,487 | — | — | 15 |
| 75635 | CT ANGIO AORTA, WITH RUNOFF, W/O IV CONTRAST, THEN W/ IV CONTRAST | $3,508 | $2,456 | — | — | 0 |
| 21016 | ED, PRO, RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FACE OR SCALP; 2 CM OR GREATER | $3,505 | $2,454 | — | — | 15 |
| 73219 | MRI EXTREMITY UPPER WITH IV | $3,439 | $2,407 | — | — | 0 |
| 73720 | MRI EXTREMITY LOWER W/WO IV | $3,398 | $2,379 | — | — | 0 |
| 74183 | MRI ABDOMEN W/WO IV | $3,387 | $2,371 | — | — | 0 |
| 72197 | MRI PELVIS W/WO IV | $3,375 | $2,363 | — | — | 0 |
| 74185 | MRA ABDOMEN W/O IV | $3,353 | $2,347 | — | — | 0 |
| 72198 | MRA PELVIS W/O IV | $3,330 | $2,331 | — | — | 0 |
| 73725 | MRA EXTREMITY LOWER W/O IV | $3,323 | $2,326 | — | — | 0 |
| 1219923000 | IP ROOM LVL 1 ACUTE CARE | $3,275 | $2,293 | — | — | 0 |
| G0390 | ER TRAUMA ACTIVATION | $3,214 | $2,250 | — | — | 15 |
| 73722 | MRI HIP LEFT WITH IV | $3,209 | $2,247 | — | — | 0 |
| 74174 | CT ANGIO ABDOMEN + PELVIS W/ IV CONTRAST | $3,185 | $2,229 | — | — | 0 |
| 73222 | MRI JOINT UPPER WITH IV | $3,183 | $2,228 | — | — | 0 |
| 1219923003 | IP ROOM LVL 1 ACUTE CARE | $3,180 | $2,226 | — | — | 0 |
Showing top 50 of 10,932 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.